title: Sleep Apnea Cardiovascular Clinical Trials-Current Status and Steps Forward: The International Collaboration of Sleep Apnea Cardiovascular Trialists.
abstract: Sleep apnea is a common chronic disease that is associated with coronary heart disease, stroke, heart failure and mortality, although the ability of sleep apnea treatment to reduce cardiovascular morbidity and mortality has not been demonstrated. In contrast to patients seeking treatment in sleep disorders centers, as many as half of individuals with moderate to severe sleep apnea in the general population do not report excessive sleepiness; however, if treatment of sleep apnea were shown to reduce cardiovascular disease risk, this would provide a strong rationale for treatment of sleep apnea even in the absence of daytime sleepiness. This article summarizes the status of clinical trials evaluating the potential cardiovascular benefits of sleep apnea treatment and discusses the challenges of conducting such trials, and introduces the International Collaboration of Sleep Apnea Cardiovascular Trialists (INCOSACT), a clinical research collaboration formed to foster cardiovascular sleep research.
  
  
  BACKGROUND
  Gottlieb DJ; Craig SE; Lorenzi-Filho G; Heeley E; Redline S; McEvoy RD; Durán-Cantolla J. Sleep apnea cardiovascular clinical trials- current status and steps forward: the International Collaboration of Sleep Apnea Cardiovascular Trialists.SLEEP2013;36(7):975-980.
authors.affiliation: VA Boston Healthcare System, Boston, MA ; Division of Sleep Medicine, Brigham & Women's Hospital and Harvard Medical School, Boston, MA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Gottlieb
authors.forename: Sonya E
authors.initials: SE
authors.lastname: Craig
authors.forename: Geraldo
authors.initials: G
authors.lastname: Lorenzi-Filho
authors.forename: Emma
authors.initials: E
authors.lastname: Heeley
authors.forename: Susan
authors.initials: S
authors.lastname: Redline
authors.forename: R Doug
authors.initials: RD
authors.lastname: McEvoy
authors.forename: Joaquín
authors.initials: J
authors.lastname: Durán-Cantolla
keywords: Cardiovascular disease; clinical trials; sleep apnea